Brain oxygen monitoring may boost recovery after severe head trauma
NCT ID NCT03754114
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two standard methods for treating severe traumatic brain injury in the ICU. One method monitors only brain pressure, while the other also tracks brain oxygen levels. About 1,094 patients will take part to see which approach leads to better recovery and survival.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,094 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2019
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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14 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Non-penetrating traumatic brain injury * Glasgow Coma Scale (GCS) 3-8 measured off paralytics * Glasgow Coma Scale motor score \< 6 if endotracheally intubated * Evidence of intracranial trauma on CT scan * Able to place intracranial probes and randomize within 6 hours of arrival at enrolling hospital * Able to place intracranial probes and randomize within 12 hours from injury * Age greater than or equal to 14 years Exclusion Criteria: * Non-survivable injury * Bilaterally absent pupillary response in the absence of paralytic medication * Contraindication to the placement of intracranial probes * Treatment of brain tissue oxygen values prior to randomization * Planned use of devices which may unblind treating physicians to brain tissue hypoxia * Systemic sepsis at screening * Refractory hypotension * Refractory systemic hypoxia * PaO2/FiO2 ratio \< 150 * Known pre-existing neurologic disease with confounding residual neurological deficits * Known inability to perform activities of daily living (ADL) without assistance prior to injury * Known active drug or alcohol dependence that, in the opinion of site investigator, would interfere with physiological response to brain tissue oxygen treatments * Pregnancy * Prisoner * On EFIC Opt-Out list as indicated by a bracelet or medical alert
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ben Taub General Hospital
Houston, Texas, 77030, United States
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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CIUSSS-NIM Hopital du Sacre - Coeur de Montreal
Montreal, H4J 1C5, Canada
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Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
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Cooper University Hospital
Camden, New Jersey, 08103, United States
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Detroit Receiving Hospital
Detroit, Michigan, 48201, United States
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Duke University Hospital
Durham, North Carolina, 27710, United States
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Froedtert Hospital
Milwaukee, Wisconsin, 53226, United States
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Grady Memorial Hospital
Atlanta, Georgia, 30303, United States
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Harborview Medical Center
Seattle, Washington, 98104, United States
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Henry Ford Hospital
Detroit, Michigan, 48201, United States
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Jacobi Medical Center
The Bronx, New York, 10461, United States
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Johns Hopkins Hospital
Baltimore, Maryland, 21287, United States
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Maine Medical Center
Portland, Maine, 04102, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02128, United States
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NYP Columbia University Medical Center
New York, New York, 10032, United States
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NewYork-Presbyterian Queens Hospital
Flushing, New York, 11355, United States
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North Shore University Hospital
Manhasset, New York, 11030, United States
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OSU Wexner Medical Center
Columbus, Ohio, 43210, United States
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Oregon Health & Science University Hospital
Portland, Oregon, 97239, United States
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Parkland Hospital
Dallas, Texas, 75235, United States
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Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, 19104, United States
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Regions Hospital
Saint Paul, Minnesota, 55101, United States
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Riverside Methodist Hospital
Columbus, Ohio, 43214, United States
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Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095-7436, United States
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SUNY Upstate Medical University
Syracuse, New York, 13210, United States
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San Francisco General Hospital
San Francisco, California, 94143, United States
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St. Michaels Hospital
Toronto, Ontario, M5B 1W8, Canada
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St. Vincent Hospital
Indianapolis, Indiana, 46260, United States
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Stanford University Medical Center
Palo Alto, California, 94305, United States
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Strong Memorial Hospital
Rochester, New York, 14642, United States
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The Queen's Medical Center
Honolulu, Hawaii, 96813, United States
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Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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UC Davis Medical Center
Sacramento, California, 95817, United States
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UF Health Shands Hospital
Gainesville, Florida, 32608, United States
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UMASS Memorial Medical Center
Worcester, Massachusetts, 01655, United States
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UPMC Presbyterian Hospital
Pittsburgh, Pennsylvania, 15212, United States
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University of Calgary - Foothills Medical Centre
Calgary, Alberta, T2N 2T9, Canada
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University of Chicago Medical Center
Chicago, Illinois, 60637, United States
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University of Cincinnati Medical Center
Cincinnati, Ohio, 45219, United States
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University of Colorado Hospital
Aurora, Colorado, 80045, United States
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University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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University of New Mexico Hospital
Albuquerque, New Mexico, 87131, United States
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University of North Carolina Medical Center
Chapel Hill, North Carolina, 27514, United States
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University of Texas Health Science Center San Antonio
San Antonio, Texas, 78229, United States
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University of Utah Healthcare
Salt Lake City, Utah, 84132, United States
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VCU Medical Center
Richmond, Virginia, 23298, United States
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WVU Healthcare Ruby Memorial Hospital
Morgantown, West Virginia, 26506, United States
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Yale New Haven Hospital
New Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Blood tests in the ambulance: a new study probes early brain injury markers
- A 45-Second eye scan could reveal hidden brain injury
- Eye scan could spot hidden brain injury in seconds
- Robots join the rehab team: a new hope for regaining movement?
- Brain-wave test may predict who wakes up after severe brain injury
- Could simple drain care rules slash brain injury infections?